Clinical effect of free anterolateral thigh perforator flap transplantation in treatment of scar deep to bone
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摘要:目的 探讨大面积深度烧伤后贴骨瘢痕破溃甚至恶变后的治疗方法。方法 12例大面积烧伤后贴骨瘢痕患者贴骨瘢痕切除术后行游离旋股外侧动脉穿支皮瓣移植修复创面，术后门诊随访观察皮瓣的外形、色泽、质地、感觉情况和供区外形及功能。结果 12例患者游离皮瓣均完全成活，瘢痕切除后恶变者无转移及复发。结论 贴骨瘢痕切除术后游离旋股外侧动脉穿支皮瓣移植修复能根本解决患者瘢痕反复破溃、感染甚至恶变转移等问题，能够提高患者生活质量，改善长期预后。
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关键词:
- 贴骨瘢痕 /
- 萎缩性瘢痕 /
- 不稳定瘢痕 /
- 游离穿支皮瓣 /
- 旋股外侧动脉穿支皮瓣
Abstract:Objective To investigate the treatment method of skin eruptions and malignant transformation of scar deep to bone after extensive deep burn.Methods A total of 12 patients with large area burn scar treated with free anterolateral thigh perforator flap transplantation were conducted free perforator flap of lateral femoral artery to repair the wound. The appearance, color, texture, sensation of the flap and the appearance and function of donor site were observed during followed up.Results The free flaps survived completely in all 12 patients. The scar was excised after operation, no metastasis or recurrence occurred in patients with malignancies.Conclusion Free anterolateral thigh perforator flap transplantation can fundamentally solve the risk of repeated scar rupture, infection and malignant transformation and metastasis, and can improve the quality of life and long-term prognosis of patients. -
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